互联网使用,心脏代谢多病症和老年人死亡:跨越发展中国家和发达国家的多队列研究
Ziyang Ren1,2, Shuangbo Xia1,2, Jinfang Sun3
1Institute of Reproductive and Child Health/National Health Commission Key Laboratory of Reproductive Health, Peking University, No 38 College Rd, Haidian District, Beijing, 100191, China.
Globalization and health
|November 6, 2023
概括
互联网使用有利于老年人,因为它降低了心脏代谢疾病和死亡的风险,部分原因是改善了心理健康. 促进互联网接入需要考虑社会经济因素和健康素养.
科学领域:
- 老年学是指老年学的学科.
- 公共卫生 公共卫生
- 数字健康数字健康
背景情况:
- 互联网使用对老年人健康的影响,特别是心脏代谢疾病和死亡率,也在讨论中.
- 研究互联网参与在老龄化人口中的保护作用至关重要.
研究的目的:
- 检查互联网使用与患心脏代谢疾病的风险和老年人全因死亡率之间的关联.
- 探索这些关联中的潜在调解因素,如抑郁症状,和调节因素,如社会经济地位.
主要方法:
- 分析了来自中国,墨西哥,美国和欧洲的四大队列,其中包括超过104,000名50岁以上的参与者.
- 利用竞争性风险分析 (分发危险回归) 和随机效应元分析来评估互联网使用对心脏代谢疾病 (糖尿病,心脏病,中风) 和死亡的影响.
- 采用调解分析来调查抑郁症状的作用,并根据人口统计和社会经济地位检查分组差异.
主要成果:
- 与没有互联网接入的人相比,互联网用户的糖尿病 (sHR 0.83),中风 (sHR 0.81) 和死亡 (sHR 0.67) 风险明显较低.
- 在所有地区都观察到不良关联,欧洲有显著的风险降低 (心脏代谢性疾病为14-30%,死亡为40%).
- 抑郁症状的减少部分介于这些保护作用,这些保护作用在社会经济地位较高的个人和女性中更为明显. 在特定的子组中指出了一些风险.
结论:
- 增加老年人的互联网访问可以减轻心脏代谢疾病和死亡的风险,部分是通过减少抑郁症状.
- 互联网普及策略应平衡利益与社会经济地位和健康素养的考虑,以最大限度地提高积极的健康结果.
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